56 E. Duarte, Arcadia, CA 91006 (626) 447-4888 | 5220 Clark Avenue #445, Lakewood, CA 90712 (562) 867-6183

 

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New Patient Forms
We respect your time and know it's valuable, which is why we're offering these forms to you in advance. Please print and complete the appropriate forms below and bring them to your first appointment, so we can get right to your treatment.

Chiropractic Intake Form
[ DOWNLOAD PDF ] (Required)

Auto Accident Form / Personal Injury
[ DOWNLOAD PDF ] (Optional)

Work Injury Form / Workers Comp
[ DOWNLOAD PDF ] (Optional)

Consent Form
[ DOWNLOAD PDF ] (Required)

Acupuncture Intake Form
[ DOWNLOAD PDF ] (Required for Acupuncture Patients Only)

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